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003716 (SFD)IIGh'�IGV P.O. BOX 1504 NO. 003716 Building.'b3w2� Navarro.78-105 CALLE ESTADO Address LA OUINTA, CALIFORNIA 92253 Owner Coachella Valle, Mailing - Address 247 E. Tah1tz City Zip calm Sprinas - 92262 Contractor Address State Lic. & Classif. • 387934 Arch., Engr., Designer Address Land Company-, BUILDINU TYPE CONST. ' " .00C: GRP'... - 'am s#'2 A.P. Number 774-094-011 Tel. ` ..322-1020 Legal Description Project Description Tel.— City .. City Lic. # $95 Sq. Ft. 1463 No. No. Dw. Size Stories ' Units New ❑ ' Add ❑ Alter ❑ Repair ❑- ' Demolition ❑ ~ Tel. 170t of 61 City Zip State 47.5 • Garaqe - - Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm -that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division'3 of the Business and Professions Code; and.my license is in full force and' effect.. na Minimum Setback _SIGNATURE—DATE ' OWNER -BUILDER DECLARATION I hereby by affirm that I am exempt from the Contractor's License Law for the following' reason: (Sec. 7031.5,Business and Professions Code: Any city or. county. which requires a permit to construct, alter, improve, demolish, or repair'any structure,. prior to its issuance also requires the applicant -for such permit to file a signed statementthat he is licensed pursuant•to the provisionsr of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of 'the Business and Professions 'Code, or that. he is 'exempt therefrom, and the. basis for the alleged exemption. Any violation of Section 7031.5 by -'any applicant for a -permit' subjects the applicant 7o a civil penalty of not more than live hundred' dollars ($500). subjects ❑ I, as owner of the property, or my employees. with wages as their sole compensation, will Estimated Valuation 505 'PERMIT •� ' Plan Chk. Dep... .$250.00 - 250.00 - Plan.Chk.' Bal. (,Oust. do the work, and the structure is not intended or offered for sale. (Sec.. 7044; Buisness and Professions Code: The Contractor's License Law. does not apply to an owner of property who ' Mech. - ' - builds or improves thereon and who does such work himself or through his own employees, . provided that' such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have'the burden of proving that he did not build or improve for the purpose of sale.) - Electrical Plumbing ❑ I, as owner of the property, am exclusively contracting with•licensed contractors to con- - struct the project. (Sec. -7044, Business and Professions Code: The Contractor's License Law • does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. -such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) D I am exempt under. Sec. B. & P.C. for this reason Grading Driveway Enc. Validation: Dale Owner WORKERS' COMPENSATION DECLARATION hereby affirm that I' have a certificate of'cons ent• to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copQhereof. (Sec. 3800, Labor Code.) Policy No. Company_, ❑ Co s filed with the city. ❑ Certified co r Copy iy ' py is her'eby furnihed. s CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I. certify that in the performance of the work for which this permit is issued, I shall not -=any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date_" ' Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the ' Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY I hereby affirm'that there is a construction lending agency for the performance of the . work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit'when properly filled out, signed and validated; and is "subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is.correct. ' I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives 'of thiscity to enter the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, Stale, Zip HARD COPY Infrastructure TOTAL2.6ap 9i r1CIVIHYiRJ AMOUNT ZONE: BY: " Minimum Setback Distances: ' Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback fron- Property Line FINAL DATE INSPECTOR 3115189 ' Issued by: Date _ Permit Validated by; Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ UNITS ROUGH PLUMB. 2ND FL. SQ, FT, @ HEATING (ROUGH) YARD SPKLR SY§TEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ, FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ METER LOOP DRAINAGE PIPING WALL SQ. FT. @ REINF. STEEL DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER SERVICE FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation GRADING cu. yd. $ plus x$ _$ LUMBER GR.��/ FLOOR DRAIN MECHANICAL FEES NAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ c BATH TUB LATHING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1 % c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE • PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUM G Z UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3 �2 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS �j SEWER OR S Y ROUGH WIRING J DUCT WORK ROCK STORAGE FOUND. REINF. .' AS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR.��/ FINAL INSP. FRAMING % 'Ya /h NAL INSP. ROOFING Lf (��) n / (/y" j REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUNDS 7 FINISH GRADING _FINAL INSPECTION CERT. OCC. FENCE FINAL • INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF kr14 SCHOOL FACILITY FEES (U-4 Un TO: TO: City of La Quinta DATE: � AF Department of Community Development -� 78-105 Calle Estado La Quinta, CA 92253 NOVICE: THIS DOCUMENT CANNOT BE DUPLICAIMD. This is to cer-tifv 0hat A developer of w — which is located at �6_3-aS �'�'� ' - �s within this District, has paid school facility fees impo(s"ed pursua"n to the authority genera a by Government ode Sec i tt 53080 i the amount f c vering a total of 6&. % / square feet of residential or ( ) industrial/commercial development and that buildinc permits for this footage in this development may now be issued by ycur jurisdiction. g—L, for DESERT SANDS UNC IEC SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning8.14 Pink - /A�cc�ouunCnnttiinGi • Gold - Developer cc 1` `� (10)-37 �,a,,r•t :� � i r�••:_T,'anlrNu�;c TZ.r•. .. - :� _ :'� r 0 Z, 01 * U W U) 72, Z 0 U W U) Y Cr Q 2 W Cr 0t W U) .T COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION' -7 7/ f4 '� PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM f eo/_3 Applicant: Submit this,form with four copies of a scaled plot plan (1-20 scale) drawn to County specifications required on the attached check list. A non-refundable filing fee of $40 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner. Agent. Contractor. Etc.) Malting Address City 1�I�/lyt S/�t2/x�G S State et4 Zip Code 5�*2 Z G2. Telephone 32.2 'Job Property Address1 � Cdy or.4communayrt 'Legal Description of Property. (Lot. PM. TR)-•">"'`""U�. tiR.`; .S3 • a 5 V VA LTC C jeLT.__ .4.q 4V44. -,1A_1 -r,4 L el 7- / A0 4 A. 'Z/ y Z4,01 7- 0 e 'Assessor's Parcel No or,Well/, AL1. r�X-+' 4:.�• `,am,{r Use of Perm"/Planning Case M Lot Size 77'71 — ©9�— v 43 MH Site Preparation Etc. Signaiure of Applicant Date 'The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date �='t Certification of Existing S.D. System required. 1:1 Yes ®o `I� WOCB Clearance required. El Yes Z N fo ` ' I Soils feasibility report required. ❑� Yes ,No/'� Special feasibility boring report required. ❑ Yes ❑�N0 - Detailed contour plot plans required. ❑ Yes ❑�N� r Staff Specialist approval required. ❑ Yes ❑ No ..� Lot Inspection Date Soils/boring report by Project # Date r Soils Map Page It/Soil Type d Approved by ��� � Date 3 /1 Type of System: V No. of Bedrooms (1) Septics Tank w�y �Sfoil Rate Required ❑ Existing © New ❑ Additional ❑ Replacement Gals. � s (2)'Leach line sq. ft. o Sidewall allowance Ft. Install Line(s) Ft. Long, Leach bed Sq. (e tto rench area) ft. rock/ ��Sq. ft. ®'N A Ft`wide with min. inches below drain lines Ft. of bottom per running rock area Leach lines/bed-special design for slope: Applicable> (3) Pit Diameter / No. -Pits Pit BI / Seepage Pit total depth factor Max. allowable depth N/A Overburden r This application is,a'p ed/denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements Set forth in Section B above. A building permit is necessary for the installation of the above -designed system. (1) Septic tank and sewer lines must be 50' from any wells l /U f (2) Leach lines must be 100' min. from any wells including expansion area (3 Seepage must be 150' min. from any wells including expansion area pits � �.-L r. -'fir! / ( .� � i sr �y _� ...r ,/ � 'S � ! '�� y}lI� .6' �)-.. / � �i' I�� ✓i' v"r ..�. . i Signature of Health Official%Dale L .,.�%'- ./•"=� 4 r �.r�wri� � RECEIPT NO._ r Issued by 6 Date 5 -n lig W District: ❑ Riverside Z I d ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE—Office file YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File DOH SAN 122 (Rev 8187) 01R /� E L ON SPAI;GY AGRICUL'I URAL COMMISSIONER JAMES O WALLACE 1 ) AND SSS Ss.�t �) f1d951p`EP. WEIGHTS b.. MEASURES CLEMENT BE`VENISTE SEXIER .. -- 49-613 Ilwy 86, Suite 8-12 (;oaclieJ:ln, CA 92236 ,y`�..,..,;e.•' q Y 1 q . 619-342=8291 DATE 3. —" _ e 9 rl : CASE N0. DEVELOPER'S NAME- AME:..ADDRESS: I ..ADDRESS:2 .y % . 2 2 6 _ TELEPI 10ME: - (6/?) 322 s.3 _ Z. Dear Developer: L After reviewing your landscaping plans; all plant material -listed is not in violation of quarantine laws governing the Coachella Valley. If substitutions do occur .and .they differ frau plant material., listed; .this office frust be notified iinnediately. zfE > Thank you for protectifrg and preserving the Coachella Valley's pest free envrorunent. Agricultural Coanussior 's O[Fice cc: Indio and Riverside Office La, Quinta Housing Authority 78-4.95.CALLE TAMPICO TEL (760).777-7120 LA QUIINTA, CALIFORNIA 92253 FAX (760) 777-7011 June 12, 2013. Building Department City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 �+ Re: Property Owner Authorization The La Quinta Housing Authority is the owner of record for property located at 53- '275 Avenida Navarro, La Quinta, CA 9.2253. On behalf of the La Quinta Housing Authority, authorization is given. to property. owner George Clohessy and Henry's Masonry for construction of a common property line block . wall. The construction of the common property line wall shall be constructed between the adjoining properties referenced below. Adjoining Property 1 Adjoining Property 2 La Quinta Housing Authority Mr.George Clohessy E53=275Averiida Nava r"' 53-313 Avenida Navarro - La Quinta, CA 92253 La Quinta, CA 92253 Should you have, any questions, please do not hesitate to contact,".me directly at. (760) 777-7120. I Sincerely, Carla Tri lett Housing Coordinator